- Accounting Now (Tampa, FL)
- … Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-upThe individual is responsible for conducting ... the insurance denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation and medical records to submit… more
- American Honda Motor Co Inc (Chino, CA)
- … Specialist reviews and assesses pre-litigation/buyback dispute cases for resolution consistent with company, state and federal guidelines. Thorough research and ... within Honda policies and guidelines, with high emphasis on negotiation and problem resolution . The Mediation Specialist must review each case on its merits,… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review. Takes initiative to continuously learn ... and CPT-4 procedural codes for CMS-1500 outpatient or inpatient claims , or other coding reasons and processing...all aspects of Payment Resolution Specialist role to support progressive responsibility.… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible...+ Experience with revenue codes, CPT, HCPCs, and ICD-10 coding experience. + Experience with medical terminology. + Previous… more
- University of Washington (Seattle, WA)
- …Practice Plane Services (FPPS) has an outstanding opportunity for an **Insurance Follow-Up Coding Denials Specialist .** **WORK SCHEDULE** + 40 hours per week + ... This position is Remote **POSITION HIGHLIGHTS** The Insurance Follow-Up Coding Denials Specialist (Patient Account Representative 2)...communicate verbally and in writing with payers to bring resolution to claims as quickly as possible… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- SUMMARY: We are seeking a qualified and dedicated Billing and Coding Specialist to join our Central Billing Office. In this position, you will be responsible for ... and Coder, your daily duties will include entering and coding patient services and charges into our EMR system...on accepted or denied claims . Review denied claims for denial reasons and provide resolution .… more
- Community Clinic Inc. (Silver Spring, MD)
- …a more equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical ... services provided. The Claims Specialist will assure that services are...accuracy in data elements and processing crucial to effective claims processing and account resolution . + Must… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry...relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases… more
- Axis (Red Bank, NJ)
- …jurisdictions in which the claims arise * Monitor and investigate assigned claims and develop resolution strategy * Attend mediation, arbitration and other ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...reporting * Ensure file set up accurately with proper coding , LOB, Danger Signal and CAT Codes REQUIRED EDUCATION/TRAINING… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and...as well as the knowledge of medical billing and coding guidelines to resolve insurance denials and guarantor/patient inquiries.… more
- Guthrie (Sayre, PA)
- …payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train ... with payers on unresponded claims . Works denied claims by following correct coding and payer...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to… more
- The Mount Sinai Health System (New York, NY)
- …and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator or Manager on ... **JOB DESCRIPTION** The Procedural Billing Specialist III is a senior level individual, responsible...for specialized or complex pre and post-surgical procedures, including coding , Accounts Receivable, Charge Entry, Edits and Payment Posting.… more
- Intermountain Health (Broomfield, CO)
- …revenue cycle to perform final validation and resolution of professional claims issues not requiring coding expertise. They perform manual charge entry ... and participate with Claims Solution Specialist -Coders in the continuous improvement...Health Information Professional (RHIT), Certified Outpatient Coder (COC), Certified Coding Specialist (CCS), Certified Coding … more
- Beth Israel Lahey Health (Burlington, MA)
- …and helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 4. Maintains open ... Central Billing Office. 16. Assists the supervisor with the resolution of claims issues, denials, appeals and...Must have experience in either a hospital related billing, claims follow up environment or hospital coding .… more
- The Mount Sinai Health System (New York, NY)
- …and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator and/or Revenue ... process for specialized or complex pre and post-surgical procedures, including coding , Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates … more
- Methodist Health System (Dallas, TX)
- …cycle management, specifically in addressing and resolving no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a ... **Your Job:** We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing for Family Practice to join our team in… more
- St. Luke's University Health Network (Allentown, PA)
- …with optimal goal of receiving accurate payments and maximum reimbursement. + Statuses claims resolution , appeals and corrected claims via payer websites ... ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection...I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance… more
- PeaceHealth (Vancouver, WA)
- … claims submission, account follow-up with insurance payors, and resolution of reimbursement issues for multi-facility, multi-specialty organization. **Details of ... **Description** PeaceHealth is seeking a Billing/Follow-up Specialist - Commercial Billing for a Full Time, 1.00 FTE, Day position. The salary range for this job… more
- Omaha Children's Hospital (Omaha, NE)
- …including veterans and people with disabilities. **A Brief Overview** The billing specialist ensures, through various activities, that claims are clean and ... determining when additional data is needed, and collecting necessary details to ensure claims are complete. The billing specialist 's activities result in … more
- Guthrie (Sayre, PA)
- …spreadsheets, creates and runs reports as needed to be used in the resolution of outstanding claims (ex. trending, projects, worklists) Identifies trends and ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more
